Provider Demographics
NPI:1629793005
Name:FALMOUTH PSYCHOTHERAPY INC
Entity Type:Organization
Organization Name:FALMOUTH PSYCHOTHERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:TARPLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:774-392-2239
Mailing Address - Street 1:PO BOX 441
Mailing Address - Street 2:
Mailing Address - City:EAST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02536-0441
Mailing Address - Country:US
Mailing Address - Phone:774-392-2239
Mailing Address - Fax:
Practice Address - Street 1:320 GIFFORD ST
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-5104
Practice Address - Country:US
Practice Address - Phone:774-392-2239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty